DENNIS JAY BAUMGARDNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063639

License Status

NOT RENEWED

Business

First Name

DENNIS JAY

Last Name

BAUMGARDNER

Business Name

DENNIS JAY BAUMGARDNER

Original Issue Date

06/13/1975

Effective Date

06/13/1975

Expiration Date

03/31/1984

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005